All citations for Amethyst Health of Brown Deer

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Amethyst Health of Brown Deer

Last standard health inspection on record

February 26, 2026

Showing 1 to 24 of 24 citations

  1. Immediate jeopardy to resident health or safety

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  3. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0940, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  4. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  5. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  6. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  7. No harm, with potential for more than minimal harm

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Widespread (many residents). CMS level F.

    Health citation F-0945, Infection Control Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  8. No harm, with potential for more than minimal harm

    Provide training in compliance and ethics.

    Widespread (many residents). CMS level F.

    Health citation F-0946, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  11. No harm, with potential for more than minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0949, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  12. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

  13. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  14. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  15. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  17. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  18. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  19. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  20. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of October 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  22. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  23. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  24. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.